Evidence map›Paper›PMID 35391835›Full record

ArticleFrontiers in cardiovascular medicine2022

Deceleration Capacity Improves Prognostic Accuracy of Relative Increase and Final Coronary Physiology in Patients With Non-ST-Elevation Acute Coronary Syndrome.

Jun Wang, Chengzhe Liu, Fuding Guo, Zhen Zhou, Liping Zhou, Yueyi Wang, Huaqiang Chen, Huixin Zhou, Zhihao Liu, Shoupeng Duan and 5 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in cardiovascular medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
2.1field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 15 citations in OpenAlex.

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  16. Multimodal data-driven prognostic model for predicting new-onset ST-elevation myocardial infarction following emergency percutaneous coronary intervention.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 2 institutions in 1 country.

Jun WangDepartment of Cardiology, Renmin Hospital of Wuhan University, Wuhan, China.
Chengzhe LiuDepartment of Cardiology, Renmin Hospital of Wuhan University, Wuhan, China.
Fuding GuoDepartment of Cardiology, Renmin Hospital of Wuhan University, Wuhan, China.
Zhen ZhouDepartment of Cardiology, Renmin Hospital of Wuhan University, Wuhan, China.
Liping ZhouDepartment of Cardiology, Renmin Hospital of Wuhan University, Wuhan, China.
Yueyi WangDepartment of Cardiology, Renmin Hospital of Wuhan University, Wuhan, China.
Huaqiang ChenDepartment of Cardiology, Renmin Hospital of Wuhan University, Wuhan, China.
Huixin ZhouDepartment of Cardiology, Renmin Hospital of Wuhan University, Wuhan, China.
Zhihao LiuDepartment of Cardiology, Renmin Hospital of Wuhan University, Wuhan, China.
Shoupeng DuanDepartment of Cardiology, Renmin Hospital of Wuhan University, Wuhan, China.
Ji SunDepartment of Cardiology, Renmin Hospital of Wuhan University, Wuhan, China.
Qiang DengDepartment of Cardiology, Renmin Hospital of Wuhan University, Wuhan, China.
Saiting XuDepartment of Cardiology, Renmin Hospital of Wuhan University, Wuhan, China.
Hong JiangDepartment of Cardiology, Renmin Hospital of Wuhan University, Wuhan, China.
Lilei YuDepartment of Cardiology, Renmin Hospital of Wuhan University, Wuhan, China.
Wuhan University · CNRenmin Hospital of Wuhan University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Both coronary physiology and deceleration capacity (DC) showed prognostic efficacy for patients with acute coronary syndrome (ACS). This retrospective cohort study was performed to evaluate the prognostic implication of DC combined with the relative increase and final coronary physiology as detected by quantitative flow ratio (QFR) for patients with non-ST-elevation ACS (NSTE-ACS) who underwent complete and successful percutaneous coronary intervention (PCI). Methods: Patients with NSTE-ACS who underwent PCI with pre- and post-procedural QFR in our department between January 2018 and November 2019 were included. The 24-hour deceleration capacity (DC 24h) was obtained Results: Overall, 240 patients were included. During a mean follow up of 21.3 months, 31 patients had MACCEs. Results of multivariate Cox regression analyses showed that a higher post-PCI QFR [adjusted hazard ratio (HR): 0.318; 95% confidence interval (CI): 0.129-0.780], a higher relative QFR increase (HR: 0.161; 95% CI: 0.066-0.391], and a higher DC (HR: 0.306; 95% CI: 0.134-0.701) were all independent predictors of lower risk of MACCEs. Subsequently, incorporating low DC (≤2.42) into the risk predicting model with clinical variables, the predictive efficacies of low relative QRS increase (≤23%) and low post-PCI QFR (≤0.88) for MACCEs were both significantly improved. Conclusions: The DC combined with relative increase and final coronary physiology may improve the predictive efficacy of existing models based on clinical variables for MACCEs in NSTE-ACS patients who underwent complete and successful PCI.

Indexed as

coronary physiologydeceleration capacitymajor adverse cardiac and cerebrovascular events (MACCEs)non-ST-elevation acute coronary syndrome (NSTE-ACS)quantitative flow ratio (QFR)

Identifiers

PMID35391835
PMCPMC8980553
OpenAlexW4220658709

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.